Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ryan Sturges Bozzell

Individual provider Nurse Practitioner · NPI 1447722657

Ryan Sturges Bozzell is a Nurse Practitioner in Farmington, New Mexico. Qualified in 2018, 8 years ago. Practices with San Juan Regional Medical Center, Inc, a 231-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
8
Licensed in
NM
In the registry since
2018

Practice location Address checks out

735 W Animas St
Farmington, NM 87401-5616
Phone: (505) 609-6300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 54843 (NM)

Record details

NPI number1447722657
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 28, 2018
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024
Mailing addressPo Box 844088, Dallas, TX 75284-4088

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice San Juan Regional Medical Center, Inc. — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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